43 Questions
What is the nurse's recommendation for a patient with narrow-angle glaucoma experiencing cold symptoms of nasal congestion and runny nose?
Azelastine
Why are anticholinergic effects concerning for patients with narrow-angle glaucoma?
They can lead to increased intraocular pressure.
What action should the nurse take if a patient receiving diphenhydramine has not voided for 12 hours?
Evaluate the bladder to check for distension.
Which medication mentioned is a second-generation antihistamine with fewer anticholinergic side effects?
Cetirizine
Why should the nurse assess for bladder distension in a patient on diphenhydramine who has not voided?
To determine if urinary retention is present.
What is the advantage of azelastine over cetirizine as a recommendation for a patient with narrow-angle glaucoma?
It has less likelihood of systemic side effects.
What should the nurse's first action be when a patient arrives in the emergency department after eating strawberries and developing a rash, runny nose, and sneezing?
Assess heart rate, respiratory rate, and lung sounds
What information should the nurse provide to a patient who is recommended to take diphenhydramine at bedtime for nighttime symptoms of coughing and sneezing?
You should be able to sleep better when you take this medication
Which decongestant is subject to regulatory limits on drug sales, with a 30-day limit of 9 grams for individuals?
Pseudoephedrine
For a patient hospitalized for an asthma exacerbation who was taking diphenhydramine at home for allergic rhinitis and cough, what medication should the nurse request an order for?
Cetirizine
What should the nurse recommend to a patient who reports worsening nasal congestion after using a topical nasal decongestant spray for a few weeks?
Tell the patient the congestion will clear up after stopping the spray
What is the main difference between nasal phenylephrine and ephedrine?
Nasal phenylephrine causes fewer systemic side effects than ephedrine.
Which of the following is NOT a potential adverse reaction to dextromethorphan?
Gastrointestinal upset
Why should dextromethorphan be used with caution in patients with asthma or bronchitis?
It may cause bronchoconstriction.
What type of medication is benzonatate?
Nonopioid antitussive
Why should patients taking guaifenesin increase their fluid intake?
To improve the expectorant effects of guaifenesin
What effect do oral antihistamines have on secretions when taken with guaifenesin?
They dry secretions, making them harder to expectorate.
What statement by a patient with mild emphysema indicates a misunderstanding of the medication regimen?
I will need to take oral prednisone daily.
Why is epinephrine given to a patient experiencing acute bronchospasm?
Cardiac and pulmonary effects
What is the purpose of providing albuterol to a patient with asthma?
To promote bronchodilation
What can be expected when albuterol is used by a patient with asthma?
Bronchodilation
In what scenario would prophylactic antibiotics be contraindicated for a patient with emphysema?
To avoid antibiotic resistance
Why are symptoms of emphysema considered generally irreversible?
As a result of chronic and severe cases
What is the primary mechanism of action of tiotropium in treating bronchospasms associated with COPD?
Inhibiting the M3 receptor response to acetylcholine
Why should patients using cromolyn sodium for bronchospasms drink water before and after using the inhaler?
To decrease the side effects of cough and bad taste
Why is it not advisable for patients to use cromolyn sodium as a rescue inhaler?
It has minimal effects on acute bronchospasm
What is a common side effect experienced by patients using cromolyn sodium daily?
Bad taste
Why should patients on cromolyn sodium avoid abruptly stopping the medication?
To prevent rebound bronchospasm
When teaching a patient beginning oral theophylline about this drug, what should the nurse instruct the patient regarding caffeine consumption?
Avoid caffeine while taking the medication
What should the nurse recommend to a patient prescribed oral theophylline about dosing changes without consulting their provider?
Never increase or decrease the dose without consulting their provider
If a patient on intravenous theophylline complains of headaches and nausea, what action should the nurse take?
Request an order for a serum theophylline level
For a patient taking tiotropium, what medication class does this belong to?
Anticholinergic
When caring for a patient who smokes and will start taking theophylline at home, what dose adjustment does the nurse anticipate?
A larger than typical dose
What is a common side effect that patients should monitor for when using bronchodilators?
Palpitations at therapeutic doses
What action should a patient taking an inhaled corticosteroid perform to prevent Candida albicans infections?
Rinse the mouth thoroughly with water after each use.
Which statement is true regarding the difference between oral and inhaled forms of albuterol?
The inhaled form has a more immediate onset than the oral form.
Why should a patient avoid using ibuprofen or aspirin while taking montelukast?
They block the effects of montelukast.
What is a common side effect associated with ephedra interacting with theophylline?
Palpitations and jitteriness
For a patient with COPD prescribed tiotropium, what is a key instruction that should be provided?
Understand that tiotropium works by relaxing and dilating the bronchioles.
What laboratory tests should be monitored in a patient taking montelukast and an albuterol inhaler?
Liver function tests and serum glucose
How often should montelukast be dosed based on its recommended usage?
Once daily at bedtime
Which medication form is likely to have less systemic side effects when used correctly?
Inhaled forms
What is advised to prevent deposits of inhaled medication in the oral cavity?
Use an aspirator
Test your knowledge on pharmacology by identifying the correct antihistamine nasal spray for a patient with narrow-angle glaucoma experiencing cold symptoms. Learn about contraindications and medication interactions.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
